To explore research findings and evaluate need of practice change in Thailand.

1. Put Evidence in to Practice: PICC Team development in Thailand Pongpak Pittayapan, RN, DNSc Nursing Department, Siriraj Hospital, Mahidol University, Bangkok. RECOMMENDATIONS BACKGROUND • The Iowa Model of Evidence-Based Practice • to Promote Quality Care This review of research findings can bridge to policy by putting the standard of infusion nursing into practice, Intravenous Therapy Team and PICC team in our institution. About 85 % of the patients who admit at Surgical Department, Siriraj Hospital have intravenous catheters placed each year, which can divide to peripheral IVs 75% and central line 10%. The surveillance of PIVs phlebitis is rare in the Surgical department, Siriraj hospital, found 27.6% (Danchaivijtr, et al., 1995) and 8.8 % later (Pittayapan, et.al., 2008). Awareness of magnitude problems of PIVs phlebitis, we want to elucidate the incidence and associated factors to improve quality of infusion care in our institution. PLAN CHANGE IN PRACTICE • By Jan 2014, discussed the problem of risk data with multidisciplinary team in the hospital. • By Feb 2014, discussed the problem of legal and role of nurse in PICC doing with Thailand Nursing Council. • By March 2014, added a module of training to collaborate with neonate PICC team in faculty of Siriraj Medicine (by inviting the INS president to be the speaker). • By May 2014, to join INS Meeting for partnership to develop PICC training course in Thailand. • By June 2014, to implement the PICC training course at Siriraj Hospital • Evaluate Process & Outcome • KEY FINDINGS • skill of nurse such as insertion site, number of insertion attempts, pain at attempt associated with phlebitis (p<0.05) • materialsuch as type of dressing, type of catheter, duration of catheter dwelling associated with phlebitis (p<0.05) • Infusion Therapy such as type of anti-infective drug, parenteral nutrition, and chemotherapy associated with phlebitis (p<0.05) OBJECTIVE To explore research findings and evaluate need of practice change in Thailand. MATERIALS and METHODS • POLICY IMPLICATIONS • skill of nurse provides a direct link to the Implication of Intravenous Therapy Team, • materialprovides a direct link Implication by the use of IV best practice standards, and • Infusion Therapy can provide a direct link to Implication with the suggestion of dilution, rate and infusing, central line and PICC line. The Iowa Model of Evidence Based Practice is the conceptual framework to analyze the findings of the research title on “The factor associated with peripheral phlebitis in surgical patients”which done in 2009. The sample of the study consisted of 1,544 surgical patients with 3,252 insertion sites. Two concepts derived from the model are Problem focus triggers and Knowledge focus triggers given the way to consider a decision point and priority need of practice change in the institution. • Reference: • Danchaivijirt S, et al. Infusion Phlebitis in Medical and Surgical Patients in Siriraj Hospital. Journal Med Associate Thai. July; 1995 • Maki, D.G., & Ringer, M. Risk factors for infusion related phlebitis with small peripheral venous catheters. Annals of Internal Medicine,1991;114(10), 845-854 • Titler, M.G., et.,al. The Iowa Model of Evidence-Based Practice to Promote Quality Care. Critical Nursing of North America, 13 (4), 497-509..